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Liz Alderton, Jason Gray O'Connor, Hilda Hayo
7.10am: In office to finish previous day's paperwork.
March 15, 2017: Nursing Standard
Luis Rodríguez Padial, Antonio Segura Fragoso, Francisco Javier Alonso Moreno, Miguel A Arias, Alejandro Villarín Castro, Gustavo Cristóbal Rodríguez Roca
BACKGROUND AND OBJECTIVES: There are discrepancies regarding how to measure blood pressure (BP). The goal of this study was to determine the differences between one automatic BP measurement and the mean of 3 automatic BP measurements. PATIENTS AND METHOD: Two patient populations were used. A sample population (n=1,337) in which the measurement was performed by a nurse at the health center, and a consecutive series of patients (n=200) who had the measurement performed in front of the doctor in the office...
March 8, 2017: Medicina Clínica
Ciro Civile, Sukhvinder S Obhi
Police provide an essential public service and they often operate in difficult circumstances, requiring high-speed cognition. Recent incidents involving apparent profiling and aggressive behavior have led to accusations that the police are sometimes biased. Given that previous research has shown a link between clothing and cognition, we investigated the question of whether the police uniform itself might induce a bias in social attention. To address this question, and using a Canadian university student sample, we assessed whether wearing a police uniform biases attention toward black faces compared to white faces, and low-status individuals compared to high-status individuals...
2017: Frontiers in Psychology
Quan Yuan, Meng Lu, Athanasios Theofilatos, Yi-Bing Li
PURPOSE: Rear-end crashes attribute to a large portion of total crashes in China, which lead to many casualties and property damage, especially when involving commercial vehicles. This paper aims to investigate the critical factors for occupant injury severity in the specific rear-end crash type involving trucks as the front vehicle (FV). METHODS: This paper investigated crashes occurred from 2011 to 2013 in Beijing area, China and selected 100 qualified cases i...
February 2017: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
Christine Carlisle, Colleen F Ford, Jan Hartman, Peggy Nikolajski, Carol Reidmiller, Justin S Rushford, Leslie Stewart, Amanda Barry, Melinda Krebs
68 Background: Telephone triage is a vital part of today's oncology practice and is often not standardized and measured to allow for quality improvement. UPMC CancerCenter (UPMC) has 31 outpatient clinics and is in need of a tool to streamline the current telephone triage process. UPMC and Via Oncology collaborated to develop and pilot a prototype of an electronic telephone triage application. The key components of the prototype were defined as decision support, EHR integration, reporting and workflow management...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
Suvarna Sundaram, Andrea Finlay, Natalia Romanova, Laura Knopp, Chiara Pierattini, Jenny Fuentes, Emily Hidalgo, Marian Daye, Megan Kokon, Christina Gustavson, Pamela Radomsky, Josefina Buras, Jennifer DeSimone, Suraj S Venna, John F Deeken, Donald L Trump
91 Background: Although advance care planning and the completion of advance directives (ADs) are important methods to prevent unwanted aggressive care once patients have lost their decision-making capacity, only a minority of patients have ADs at the time of cancer diagnosis. METHODS: We established a new multidisciplinary outpatient clinic to provide comprehensive care to patients with newly diagnosed cancer at the Inova Dwight and Martha Schar Cancer Institute in Northern Virginia. Improvement in advance care planning was chosen as one of the first quality improvement initiatives for 2015...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
Robert Keder, Robert Sege, Peter C Raffalli, Marilyn Augustyn
Aiden, a 13-year-old boy in the sixth grade who is relatively new to your practice, is seen for follow-up after his routine physical last month when you noted concerns for possible attention-deficit hyperactivity disorder (ADHD) and gave the family Vanderbilt Scales to complete. Aiden has a family history of ADHD, specific learning disabilities, and mood disorder.His mother reports that she is concerned about how Aiden is doing at school; his teachers are complaining that he is not doing his work, and she is worried that he may be kept back in school...
February 2017: Journal of Developmental and Behavioral Pediatrics: JDBP
C Rosen, B Ramsay, S Konerth, D Roller, A Ramsay
PURPOSE: Maintaining compliance with Radioactive Materials Licenses is inherently a time-consuming task requiring focus and attention to detail. Staff tasked with these responsibilities, such as the Radiation Safety Officer and associated personnel must retain disparate records for eventual placement into one or more annual reports. Entering results and records in a relational database using a web browser as the interface, and storing that data in a cloud-based storage site, removes procedural barriers...
June 2016: Medical Physics
Stephen D Persell, Tiffany Brown, Ji Young Lee, Eric Henley, Timothy Long, Thomas Sanchez, Regina Knight
RATIONALE, AIMS, AND OBJECTIVES: Lipid screening is central to cardiovascular risk assessment. We sought to determine whether a simple mailed outreach message and facilitated test ordering increase cholesterol screening among federally qualified community health center patients with no recent cholesterol screening test performed. METHODS: Using a patient-randomized controlled trial, we examined the effects of delivering a simple mailed outreach intervention promoting cholesterol testing and facilitated test ordering (without requiring an office visit)...
December 27, 2016: Journal of Evaluation in Clinical Practice
Gyl Kasewurm
When it comes to business, there is no one thing that ensures success. However, focusing on helping as many patients as possible and tracking those results, creating a program to gather referrals from your own patients, setting a goal each month, and having a key employee to guide operations at the front desk to ensure that every patient is treated well and has an awesome experience at your office will go a long way to steering a practice to success.
November 2016: Seminars in Hearing
John N Dusabe-Richards, Hayley Teshome Tesfaye, Jarso Mekonnen, Aschenaki Kea, Sally Theobald, Daniel G Datiko
OBJECTIVES: This study assesses the feasibility of female health extension workers (HEWs) using eHealth within their core duties, supporting both the design and capacity building for an eHealth system project focussed initially on tuberculosis, maternal child health, and gender equity. PARTICIPANTS: Health extension workers, Health Centre Heads, District Health Officers, Zonal Health Department and Regional Health Bureau representatives in Southern Ethiopia. SETTING: The study was undertaken in Southern Ethiopia with three districts in Sidama zone (population of 3...
December 27, 2016: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
Andrea Medina-Smith, Kimberly A Tryka, Barbara P Silcox, Robert J Hanisch
PURPOSE: This study looks at the changing way in which the Information Services Office (ISO) at the National Institute of Standards and Technology (NIST) provides services to NIST scientific and technical staff throughout their research and publishing cycles. These services include the more traditional services of a research library as well as publishing NIST technical reports and The Journal of Research of NIST, and preserving and exhibiting scientific instruments and other artifacts...
2016: Digit Libr Perspect
Peter C Wever, Mike B J M Korst, Maarten Otte
In December 1913, a board of medical officers was appointed to adapt new U.S. Army equipment to the needs of the Hospital Corps. One of the improvements concerned substitution of the satchel-like Hospital Corps pouch used to carry first aid equipment. A waist belt with 10 pockets, known as the medical belt, was devised, and supplied with a tourniquet, adhesive plaster, safety pins, iodine swabs, sublimated gauze, individual dressing packets, gauze bandages, aromatic spirit of ammonia, and common pins. In addition, an ax carrier accommodating a hand ax, a canteen hanger, and a pouch to carry diagnosis tags and instruments were attached to the medical belt...
October 2016: Military Medicine
J Inkinen, R Mäkinen, M M Keinänen-Toivola, K Nordström, M Ahonen
The present study was performed in real life settings in different facilities (hospital, kindergarten, retirement home, office building) with copper and copper alloy touch surface products (floor drain lids, toilet flush buttons, door handles, light switches, closet touch surfaces, corridor hand rails, front door handles and toilet support rails) in parallel to reference products. Pure copper surfaces supported lower total bacterial counts (16 ± 45 vs 105 ± 430 CFU cm(-2) , n = 214, P < 0·001) and a lower occurrence of Staphylococcus aureus (2·6 vs 14%, n = 157, P < 0·01) and Gram-negatives (21 vs 34%, n = 214, P < 0·05) respectively than did reference surfaces, whereas the occurrence of enterococci (15%, n = 214, P > 0·05) was similar...
January 2017: Letters in Applied Microbiology
Ivica Balen, Marica Jandrić-Balen
There is a profound and permanent connection between Franciscans and Slavonski Brod (formerly known as Brod na Savi). It has lasted for centuries, as Franciscans were present in the town even during the Turkish occupation. They were the first town pastors after its independence from the Turks in 1691 and are present today with churches, monasteries, and the Franciscan High School, which opened in 1995. Their chronicles describing the events from 1706 to 1932 are an important source of historical information, especially for local historians...
November 2015: Acta Medico-historica Adriatica: AMHA
Robert P Olympia, Jodi Brady
Abdominal pain is a common chief complaint encountered by school nurses. This article explains the etiology of abdominal pain in children and adolescents, describes the office assessment, and delineates life-threatening conditions associated with severe abdominal pain that may prompt the school nurse to transfer the student to a local emergency department.
September 2016: NASN School Nurse
Kayte Spector-Bagdady
PURPOSE: 23andMe is back on the market as the first direct-to-consumer genetic testing company that "includes reports that meet Food and Drug Administration (FDA) standards…." But, whereas its front-end product is selling individual genetic tests online, its back-end business model is amassing one of the largest privately owned genetic databases in the world. What is the effect, however, of the private control of bio/databases on genetic epidemiology and public health research? METHODS: The recent federal government notices of proposed rulemaking for: (1) revisions to regulations governing human subjects research and (2) whether certain direct-to-consumer genetic tests should require premarket FDA review, were reviewed and related to the 23andMe product, business model, and consumer agreements...
July 2016: Annals of Epidemiology
Kelsey M Schwei, Ryan Cooper, Andrea N Mahnke, Zhan Ye, Amit Acharya
BACKGROUND: A workflow is defined as a predefined set of work steps and partial ordering of these steps in any environment to achieve the expected outcome. Few studies have investigated the workflow of providers in a dental office. It is important to understand the interaction of dental providers with the existing technologies at point of care to assess breakdown in the workflow which could contribute to better technology designs. OBJECTIVE: The study objective was to assess electronic dental record (EDR) workflows using time and motion methodology in order to identify breakdowns and opportunities for process improvement...
2016: Applied Clinical Informatics
Nick Crofts, David Patterson
World leaders have committed to ending AIDS by 2030, but stigma and discrimination remain significant obstacles. In particular, police are critical, front-line determinants of risk for many people living with HIV (PLHIV) and members of other key affected populations (KAPs). The negative impact of adverse police behaviours and practices on HIV risk is well documented, and these risks undermine global efforts to end AIDS. Far less well documented, and less common, are attempts to ameliorate this impact by working to change police behaviours...
2016: Journal of the International AIDS Society
Natalia Antonova
AIM: The aim of the study was to analyze accessibility of medical assistance in Russian polyclinics (a case study of the city of Ekaterinburg). METHODS: The research included an anonymous survey of patients in five polyclinics of Ekaterinburg (N=500) conducted by applying a specially developed standardised interview. RESULTS: The following factors of medical care accessibility were analyzed: the patient's financial status and administrative and managerial resources of medical institutions...
June 2016: Central European Journal of Public Health
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